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Organization

CLARENCE PITRE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MONETTE ASIS (MEDICAL BILLER)
(915) 629-8888
Entity
Organization

Contact information

Practice address
10201 GATEWAY WEST, STE 401, EL PASO, TX 79925
(905) 629-8888
Mailing address
10201 GATEWAY WEST, STE 401, EL PASO, TX 79925
(915) 692-8888

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7833
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00296F
MEDICARE PROVIDER NO
TX
Enumeration date
05/22/2007
Last updated
02/26/2008
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